Highland Health And Rehabilitation Of Cascadia

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

46.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 46.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 39 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 44 beds and averages 36.5 residents a day — about 83% occupied, or roughly 8 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.22 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.50 hrs/resident/day on weekends vs 4.10 on weekdays — 14% thinner on weekends. RN hours go from 1.38 to 0.81 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

37 citations, most serious first. The 14 most serious are shown; the remaining 23 are one tap away and print in full.

• Actual harm · G2026-02-13 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the nursing staff used professional standards of care and aseptic (to prevent healthcare associated infections, surgical site infections and laboratory contamination) technique when changing Resident 20's PICC line [a peripherally inserted central catheter (PICC) is a long, soft, flexible tube inserted into a vein in the upper arm and advanced to a large vein above the heart] dressing. Resident 20 experienced harm when they required an emergency transfer to the emergency department (ED) to have their PICC line replaced, and additional diagnostic procedures (ultrasound and Xray) performed when their PICC line was cut with unclean and unsterile scissors. Additionally, this failed practice placed the resident at serious risk for central line associated blood stream infection. Findings included .Review of the 2025 Facility Assessment showed the facility had specific types of care and practices that required nursing care for the facility's specific…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-01-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, and record review the facility failed to ensure staff provided the necessary assessment, interventions, monitoring of the impacted skin area, and care for 1 of 1 resident (Resident 1) who was identified to have a Deep Tissue Injury (DTI) from a knee brace/immobilizer and subsequently developed an avoidable unstageable pressure ulcer/pressure Injury (PU/PI). Resident 1 experienced harm when they developed an unidentified wound to the area under their brace (also known as an immobilizer - a medical device that stabilizes your knee joint and holds it in place) and this practice placed all other residents with a brace or appliance at risk of the development of a PU/PI. The facility corrected the above deficient practice prior to the initiation of the abbreviated survey on 12/21/2023. This failure was a past noncompliance (the facility was not in compliance at the time the situation occurred; however, there was sufficient evidence that the facility corrected the non-compliance after it was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2023-11-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure 1 of 3 sampled residents (Resident 1), reviewed for falls, received supervision with two-person assist with transfers and was not left unattended while on a bedside commode (BSC), had the effectiveness of current interventions evaluated, and had additional fall measures implemented to prevent future falls. Resident 1 was harmed when they had five falls within a nine-week period from their admission to the facility while they were self-transferring to or from the toilet or BSC, and during the last fall, the resident experienced a fractured hip. This failed practice placed all residents at risk for prevention of falls and possible injury. Findings included . Resident 1 was admitted to the facility on [DATE] with diagnoses which included metabolic encephalopathy (brain dysfunctions due to problems with your metabolism), urosepsis (sepsis caused by infections of the urinary tract), Clostridium difficile (a bacterium that causes an infection in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-10-19 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to thoroughly provide professional standards of care and services, for 1 of 1 resident (Resident 1) reviewed for wound care. The facility failed to timely and accurately assess the resident's surgical wound site, follow physician orders as indicated post-surgical amputation of a toe on the resident's right foot, monitor and assess other open areas to the resident's right foot, left foot, and coccyx (tailbone), manage a wound vac (vacuum assisted closure device that assists in wound healing) device, and communicate concerns and status of the surgical wound to the surgeon. Resident 1 experienced harm, when they were hospitalized for significant worsening of their surgical wound site on their right foot that contributed to a below knee amputation (BKA) of their right leg. Findings included . Review of the facility provided wound vac information titled, 3M VAC Therapy, Patient information guide, undated, showed vac therapy should always be on. If the vac…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-13 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure residents were provided all physician ordered medications on 13 of 14 days reviewed for 20 residents. This failed practice disrupted the residents' continuity of care and placed residents at risk of not having their medical needs met.Findings included. Review of the facility's Medication Not Available, report ran for the scheduled dates of 01/30/2026 through 02/12/2026, listed the following physician ordered medications were not administered due to not available along with correlating dispensing reference from the facility's contracted pharmacy:01/30/2026 Resident 1 - gabapentin (anticonvulsant medication), albuterol sulfate inhalation (respiratory medication) [available in pyxis (machine dispenser], metronidazole topical cream (antiprotozoal and antibiotic medication), fluticasone-salmeterol inhaler (respiratory medication) [no stat request], ranitidine (stomach acid medication) [Over the Counter (OTC), facility supplied stock] Resident 2…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to conduct a complete and thorough investigation of mistreatment for 1 of 1 resident (Resident 20) who was sent to the emergency department due to a Registered Nurse (RN) accidentally cutting a residents peripherally inserted central catheter (PICC) line during a PICC line dressing change. This failed practice prevented the facility from identifying why the incident occurred, identifying the nursing staff's competency improvement needs which placed residents at risk. Findings included .Review of the facility's policy titled, Abuse, Prevention, Identification, & Reporting, revised 10/31/2017, stated the facility will investigate patterns, trends, and events that suggest the possible presence of abuse, or neglect . if the allegation is verified, the report includes appropriate corrective action taken. Review of the facility's January and February 2026 incident logs showed no incidents related to Resident 20's incident of Staff F, Registered Nurse (RN)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-13 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on interview and record review the facility failed to ensure the daily nurse staffing posting was completed daily with the total number of actual nursing hours worked along with the resident census from 01/07/2026 to 02/13/2026 for a total of 37 days. This failed practice prevented the residents and visitors' ability to readily view the nurse staffing information. Findings included. In an observation on 02/11/2026 at 12:22 PM, the daily nurse staffing posting was dated 01/07/2026. In an observation on 02/12/2026 at 12:40 PM, the daily nurse staffing posting continued to be dated 01/07/2026. In an observation and interview on 02/13/2026 at 3:10 PM, Staff L, Interim Chief Nursing Officer, confirmed the nurse daily staffing was dated 01/07/2026, and stated it should be posted daily reflecting the actual nurse staffing hours along with the facility's current census number.No reference WAC

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure 1 of 3 residents (Resident 1) who were at risk of pressure injuries (PI), did not develop an avoidable PI. The facility failed to implement preventive PI interventions for Resident 1. This failed practice resulted in the development of a deep tissue injury (DTI) of Resident 1's left heel which caused the resident significant discomfort. This failed practice placed other residents at risk of pressure injuries, pain and decreased quality of life. Findings included. The National Pressure Ulcer Advisory Panel (NPUAP) Pressure Injury (PI- also known as a PU) definition and stages of PU's include:-A PI (PU) is localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device. The injury can present itself as intact skin or an open ulcer and may be painful. The injury occurs as the result of intense and/or prolonged pressure or pressure in combination with sheer. The tolerance of soft…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-07 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure a safe, clean, comfortable and homelike environment on 2 of 2 units and the main dining room. Failure to ensure a comfortable interior in the dining room, unit halls free of unpleasant odors, adequate supply of linens, and perform needed repairs in resident's rooms placed residents at risk for decreased quality of life.Findings included .<LINEN SHORTAGE> During an interview on 08/07/2025 at 9:58 AM, Resident 14 reported that last week they had to go to bed with a draw sheet as the staff had told them there were no clean sheets available. Resident 14 reported last night there were no top sheets so they had to use a draw sheet for a regular sheet. <RESIDENT ROOMS> During an observation on 08/04/2025 at 9:07 AM, the bed in room [ROOM NUMBER]B did not have a mattress on the frame. During an observation on 08/05/2025 at 8:28 AM, the bed in room [ROOM NUMBER]B did not have a mattress on the frame. During an observation on 08/05/2025 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-08-07 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure proper storage and labeling of insulin (injectable medication that regulates blood sugar) in 2 of 2 medication carts (North and South carts) when reviewed for medication storage. This failure placed residents at risk of receiving expired medications, ineffective treatment, and a diminished quality of life.Findings included.On 08/06/2025 at 9:35 AM, an observation of the South medication cart was conducted with Staff D, Registered Nurse (RN). Three of six Glargine insulins (a man-made version of the human hormone insulin) were observed in individualized plastic bags, stored outside of the refrigerator. In an observation and interview on 08/06/2025 at 9:40 AM, Resident 4's Glargine insulin pen (a device that has a cartridge of insulin and a needle to administer insulin injections) was observed without a date which indicated when it was opened and/or removed from the refrigerator. Resident 26's had an open bottle of Glargine insulin, dated 07/04/2025, and an undated Glargine insulin pen. Staff D could not…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-07 · tag F0947 — failed to train nurse aides adequately — pattern
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to develop, implement and maintain a process to ensure annual performance reviews were completed for 3 of 5 staff (Staff P, Q, R) and that Nursing Assistant Certified (NAC) staff had the required 12 hour annual in-service training for 4 of 5 staff (Staff O, P, Q, R) reviewed for competent nursing staff. The failure to ensure NAC's had annual performance reviews to assess areas of weakness so the facility could provide in-service training and/or NACs received 12 hours annual in-service training placed residents at risk of less than competent care and services from staff.Findings included.Review of the facility assessment, dated 2025, showed the Staff Development Coordinator monitored the required education and required hours of education of staff. Education and training would include areas of weakness as determined by the NAC annual performance reviews.<STAFF P>Staff P, NAC, had a hire date of 01/10/2024. The facility provided documentation that showed Staff P had not had an annual performance review completed. Staff P had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-07 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to initiate, investigate, and resolve a grievance for 1 of 1 sampled residents (Resident 3) reviewed for grievances. This failure placed residents at risk for emotional distress and a diminished quality of life.Findings included.In a review of the facility policy titled, Complaints and Grievances revised on 10/15/2022 showed complaints/grievances may be verbal or written, they are acknowledged, investigated and the complainant apprised of progress toward a resolution.In a review of the facility policy titled, Complaints and Grievances revised on 10/15/2022 showed complaints/grievances may be verbal or written, they are acknowledged, investigated and the complainant apprised of progress toward a resolution. In an interview on 08/04/2025 at 11:29 AM Resident 3 stated they were missing seven pairs of rubber pants for two weeks. Resident 3 stated they had reported the missing rubber pants to at least four or five staff members. Resident 3 stated Staff E, Laundry Aide (LA), was the only staff allowed to take and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-07 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure professional standards were met for 3 of 5 residents (Residents 3, 6, and 26) reviewed for unnecessary medication review. The facility failed to recognize and ensure parameters were met for blood pressure medication administration and diabetes (blood sugar levels in blood are unmanaged) medication management for the residents. The facility failed to notify the medical provider when the resident's blood sugar levels and blood pressures were beyond the ordered parameters. These failures placed the residents at risk for adverse outcomes, medication errors, complications, and unmet needs.Findings included .Review of the facility policy titled, Oral medication administration, dated 01/01/2018, documented medication was administered per physician orders and manufacturer directives. Vital sign parameters and side effects are monitored as indicated. <RESIDENT 3> Resident 3 readmitted to the facility on [DATE] with diagnoses to include diabetes mellitus,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure 1 of 4 residents (Resident 13) reviewed for activities of daily living, received adequate bathing according to the resident's plan of care. This failure placed the resident at risk of poor hygiene and a diminished quality of life.Findings included.Resident 13 admitted to the facility on [DATE].During an interview on 08/04/2025 at 9:10 AM, Resident 13 reported they preferred two showers a week, but had not had a shower in the last month. Resident 13 reported that they needed their beard trimmed but the staff only did that when they received showers. Resident 13 was noted to have a long beard.Review of Resident 13's Kardex (specifies resident's care needs), dated 08/05/2025 showed they preferred two showers each week and if resident could not tolerate a shower, then staff were to provide a bed bath.Review of Resident 13's last 30 days of bathing documentation, dated 08/05/2025, showed they had received showers on 07/08/2025,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$63,697 in federal fines across 3 penalties.

• $10,358 — penalty dated 2026-02-13
• $12,048 — penalty dated 2024-01-09
• $41,291 — penalty dated 2023-10-19

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CASCADIA HEALTHCARE — 46 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

7 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $238K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

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